Abstract
Background
The novice anaesthesiology trainee must rapidly assimilate the cognitive, technical and non-technical skills necessary to competently respond to critical events in their new role. Providing trainees with the safe and controlled environment of high-fidelity patient simulation is one method to compensate for gaps in trainee experience, offering the potential for effective training. An anaesthesiology boot camp was set up to increase the knowledge, clinical, technical and non-technical competencies of the novice trainee, creating a framework for their future learning and practice. Anaesthetic nurses also attended to incorporated teamwork and collaboration into the boot camp.
Methods
Seven novice anaesthesiology trainees and 3 anaesthetic nurses attended 3 4-h boot camp sessions. The boot camp consisted of the following: (1) interactive didactic lectures; (2) task-trainer technical skills teaching; and, (3) high-fidelity simulations. Pre- and post-course evaluation forms including a multiple-choice-questions (MCQ) assessing knowledge were completed.
Results
Nine participants fully completed the boot camp. There was a significant increase in post-MCQ score (p = 0.001). Feedback from participants included “well organised”, “helpful” and “structured approach” with all participants agreeing or strongly agreeing that it was relevant training for their practice.
Discussion
We have created the first Irish anaesthesiology boot camp, demonstrating the important role that simulation has in enhancing medical education. Our results showed both knowledge attainment and participant satisfaction in this method of learning. Anaesthesiology boot camps are the ideal method to provide novice trainees with a framework for their initial introduction into anaesthesia.
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References
Cleland J, Walker KG, Gale M, Nicol LG (2016) Simulation-based education: understanding the socio-cultural complexity of a surgical training ‘boot camp’. Med Educ 50:829–841
Park CS, Rochlen LR, Yaghmour E, Higgins N, Bauchat JR, Wojciechowski KG, Sullivan JT, McCarthy R (2010) Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Anesthesiology 112:202–211
Park CS (2011) Simulation and quality improvement in anesthesiology. Anesthesiol Clin 29:13–28
Kory PD, Eisen LA, Adachi M, Ribaudo VA, Rosenthal ME, Mayo PH (2007) Initial airway management skills of senior residents: simulation training compared with traditional training. Chest 132:1927–1931
Cleland J, Patey R, Thomas I, Walker K, O’Connor P, Russ S (2016) Supporting transitions in medical career pathways: the role of simulation-based education. Adv Simul (Lond) 1:14
Fernandez GL, Page DW, Coe NP, Lee PC, Patterson LA, Skylizard L, St Louis M, Amaral MH, Wait RB, Seymour NE (2012) Boot cAMP: educational outcomes after 4 successive years of preparatory simulation-based training at onset of internship. J Surg Educ 69:242–248
Heskin L, Mansour E, Lane B, Kavanagh D, Dicker P, Ryan D, Gildea-Byrne K, Pawlikowska T, Tierney S, Traynor O (2015) The impact of a surgical boot camp on early acquisition of technical and nontechnical skills by novice surgical trainees. Am J Surg 210:570–577
Kirkpatrick JD, Kirkpatrick WK (2016) Four levels of training evaluation Alexandria, VA Association for Talent Development
Chin CJ, Roth K, Rotenberg BW, Fung K (2014) Emergencies in otolaryngology-head and neck surgery bootcamp: a novel Canadian experience. Laryngoscope 124:2275–2280
Initial Competence Test for Basic Specialist Trainees. 2014. (Accessed 26/08/2018, 2018, at https://www.anaesthesia.ie/index.php/training/basic-specialist-training)
The RCoA Guide for Novice Trainees. 2018. (Accessed 25/08/2018, 2018, at https://www.rcoa.ac.uk/careers-and-training/the-rcoa-guide-novice-trainees)
Schieman C, Ujiie H, Donahoe L, Hanna W, Malthaner R, Turner S, Czarnecka K, Yasufuku K (2018) Developing a national, simulation-based, surgical skills Bootcamp in general thoracic surgery. Journal of Surgical Education 75:1106–1112
Acknowledgements
Thank you to all the peri-operative nursing staff and administration staff within SVUH who assisted in the preparation and running of this boot camp in SVUH.
Author Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Caoimhe Duffy and Zeenat Nawoor-Quinn. The first draft of the manuscript was written by Caoimhe Duffy and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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The authors declare they have no conflict of interest.
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This article does not contain any studies with human participants performed by any of the authors.
Additional information
An abstract based on this project was presented as an e-poster at the Society for Simulation in Europe (SESAM) Conference, Glasgow 12–14th June 2019; entitled “Rapid Sequence Induction – An Anaesthesiology Bootcamp, the initial Irish Experience”, C.C. Duffy*, Z. Nawoor-Quinn, C. Burlacu.
This project has been shortlisted for the “NCHD Project of the Year, Irish Healthcare Awards 2019”.
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Duffy, C.C., Nawoor-Quinn, Z. & Burlacu, C.L. “Rapid sequence induction”—an anaesthesiology boot camp. Ir J Med Sci 189, 1047–1051 (2020). https://doi.org/10.1007/s11845-019-02146-w
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DOI: https://doi.org/10.1007/s11845-019-02146-w